A.B. Shetty Memorial Institute of Dental Sciences, Mangalore

Format of Notarized Undertaking to be submitted, on stamp paper of Rs. 200/- UNDERTAKING – FOR BDS I, Mr./Ms. …………………..............................…………… (Name of the Candidate), aged about …………. years, S/D/o …………………………….................………………. (Name of the Parents) resident of………………………………………………………………………….………. (permanent/present address of Parent) do hereby swear an oath as follows: I have been selected to the 1st year Bachelor of Dental Surgery (BDS) program at A. B. Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangaluru, a constituent college of Nitte (Deemed to be University) through the Common Counseling conducted by the Directorate General of Health Services (DGHS), Government of India, New Delhi through NEET UG 2025 with the All India Rank No. …………..………. during the academic year 2025-26. I, say that on my own will and along with my parents/guardian took admission to the BDS program at A. B. Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangaluru, as per the DGHS Admission Order dated …………………..………..… with NEET UG 2025 Roll No. ………………… I, say in consideration of admission to 1st year BDS program I shall complete the 5 years program and accordingly undertake to pay all the tuition and other fees as prescribed by A. B. Shetty Memorial Institute of Dental Sciences/ Nitte (Deemed to be University). I, hereby submit the undertaking that I am liable to pay the College/tuition fees and dues for the remaining duration of my program. In the event of my discontinuation of UG program due to any reason, I along with my parent / guardian hereby undertake to pay the balance tuition fee to A. B. Shetty Memorial Institute of Dental Sciences / Nitte (Deemed to be University) payable for the entire program, without any demur. I am aware of the fact that as per the Government orders bank guarantee should be submitted by me to the Institution for the payment of annual tuition fees towards the remaining period of my program. I, opt to submit the Post Dated